Glossary Entry

Health Insurance > Provider networks

Needs a little more detail
Subtopics: Fee-for-service, Case rate, Per diem, DRG, Capitation

Learning Objectives:

Undergraduate students should be able to 
  1. Describe the basic elements of a provider contract
  2. Discuss provider types and provider organization models
  3. Explain reimbursement model designs
Graduate students should also be able to
  1. Analyze the elements of a provider contract
  2. Differentiate provider types and provider organization models
  3. Evaluate reimbursement model designs
  4. Project the ramifications of changes in a provider network or contract terms.
  5. Describe the “payer perspective” of health insurance.
Created By: Gerod Blue 12-18-2012
Last Updated By: Gerod Blue 12-18-2012
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